New Laparoscopic Vaginoplasty Procedure With a Modified Peritoneal Pull-Down Technique in Four Patients With Mayer-Rokitansky-Küster-Hauser Syndrome

• Published in: Journal of pediatric and adolescent gynecology 2021, Vol.34 (4), p.569-572
• Main Authors: Kisu, Iori, Ito, Masaaki, Nakamura, Kanako, Shiraishi, Tetsuro, Iijima, Tomoko, Senba, Hiroshi, Matsuda, Kiyoko, Hirao, Nobumaru
• Format: Report
• Language: English
• ISSN: 1873-4332
• DOI: 10.1016/j.jpag.2021.02.099

BACKGROUNDVarious vaginal reconstructive procedures have been described for patients with Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome. We describe the success of a novel laparoscopic vaginoplasty procedure using an anteroposterior peritoneal pull-down technique. CASEFour patients with MRKH syndrome underwent a modified laparoscopic Davydov procedure using an anteroposterior peritoneal pull-down technique with a transverse laparoscopic incision below the strand. Anatomical success was achieved in all patients, allowing easy introduction of 2 fingers, an epithelialized neovagina, and a mean length of 8.0 cm (range 7.0-9.0cm). All 3 patients who attempted sexual intercourse were successful, and neovagina size was adequately maintained at the long-term follow-up in the remaining patient. SUMMARY AND CONCLUSIONThis novel procedure presents as a feasible and an effective approach for vaginal reconstruction in patients with MRKH syndrome.